| Cilicia's International Holding Group | |
|
1499 N 159th Ave Apt 2202 Goodyear AZ 85395-7204 | |
| (480) 328-4410 | |
| Not Available |
| Full Name | Cilicia's International Holding Group |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1499 N 159th Ave Apt 2202, Goodyear, Arizona |
| Authorized Official Name and Position | Cilicia T Gooden (PROVIDER) |
| Authorized Official Contact | 4803284410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cilicia's International Holding Group Po Box 5973 Goodyear AZ 85338-0617 Ph: (480) 328-4410 | Cilicia's International Holding Group 1499 N 159th Ave Apt 2202 Goodyear AZ 85395-7204 Ph: (480) 328-4410 |
| NPI Number | 1528954104 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528954104 | NPI | - | NPPES |
| 1720727688 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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